FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
About the role
Key responsibilities & impact- Assist in review and resolution of hospital claims under general supervision of the Patient Financial Services Supervisor
- Monitor work queues containing claim errors, discharged-not-billed accounts, and rejections; perform timely submission
- Review medical insurance carrier requirements and collaborate with revenue-cycle departments to resolve billing and claim edits
- Understand explanations of benefits and remittances
- Respond to vendor requests in a timely and professional manner
- Maintain accounts in the billing system
- Follow up with government and non-government third-party insurance carriers on unpaid, underpaid, and denied facility accounts and claims
- Resolve problems causing delays in reimbursement
- Review, document, and take appropriate action on payer and patient correspondence
- Identify and report payer denial and underpayment trends to supervisors or management
- Verify account insurance and patient liability buckets
- Post, balance, and reconcile patient account payments for accounts receivable
- Process electronic batches in the hospital billing module and correct remittance errors
- Correct work-queue errors and clear queues regularly
- Post self-pay remittance files, EOB files, paper checks, denial information, and follow-up information
- Close batches by verifying payments are posted and reconciled to cash control amounts
- Post insurance recoupments using designated payment codes
- Monitor accounts-receivable aging by payer to ensure timely primary and secondary billing
- Collect private-pay balances and ensure statements are processed and paid promptly
- Review DFCS notices against Gammis to ensure correct patient liability calculations
- Use in-house adjustment and activity codes while meeting productivity and quality standards
- Attend or complete required department training
- Assist with end-of-month reconciliation procedures
- Prepare supporting documentation for leadership
- Perform other duties as assigned
Requirements
What you’ll need- Must be able to accurately type 30 WPM
- Successfully complete competency exam with 80% proficiency
- Business knowledge and results oriented experience within Patient Financial Service
- Demonstrated knowledge and experience with Microsoft Suite, including Excel and Word
- Highly motivated and detail oriented
- Excellent teaming, communication, time management, and organizational skills
- Ability to be flexible and work collaboratively among internal and external departments
- Ability to effectively investigate, analyze, and solve problems
- Hands-on knowledge of Current Procedural Terminology (CPT)
- Knowledge of International Classification of Diseases (ICD-9) coding
- Knowledge of Healthcare Common Procedure Coding System (HCPCS), revenue codes, and hospital billing terminology
- Knowledge of Outpatient Code Editor (OCE) and Correct Coding Initiative (CCI) edits
- Job-related experience in health care revenue cycle
- Demonstrated service and success in teamwork and consistent high productivity and quality
- Working knowledge of Medicare Secondary Payer and medical necessity requirements
- Epic experience
- Hands-on knowledge of Medicare and Medicaid regulations
- Experience with Uniform Billing (UB-04), healthcare finance administration (HCFA), and 1500 claims forms billing and follow-up functions, both electronic and manual
- 2 years of college (Associate Degree)
Benefits
Comp & perks- Medical, dental, vision, and prescription drug coverage
- Retirement savings plans with employer contributions
- Life insurance
- Disability coverage
- Paid time off
- Holidays
- Family leave benefits
- Tuition reimbursement
- Professional development programs
- Opportunities for advancement
- Employee Assistance Program (EAP)
- Wellness initiatives
- Discounts on services